Provider Demographics
NPI:1558129270
Name:PARSON, BOBBY LEE
Entity Type:Individual
Prefix:
First Name:BOBBY
Middle Name:LEE
Last Name:PARSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 1ST ST SW APT 519
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-3582
Mailing Address - Country:US
Mailing Address - Phone:240-565-7824
Mailing Address - Fax:
Practice Address - Street 1:2121 1ST ST SW APT 519
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-3582
Practice Address - Country:US
Practice Address - Phone:240-565-7824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant